Download figure Open in new tab Download powerpoint Figure 2 Multiple seborrheic keratoses of various sizes arranged in a "Christmas tree" pattern on the patient's back. A punch biopsy was taken from the nodule. We report the sporadic form of Dowling-Degos disease in an elderly man with multiple seborrheic keratosis in a "Christmas tree" pattern.
Worthy of note in this case study is the lesions evolved for over than 30 years. The aim is to describe the association of these keratoses with Dowling. The orientation of the multiple, round- to oval-shaped seborrheic keratoses on the patient's back has been described as following a Christmas tree pattern.20 The clinical presentation of the multiple seborrheic keratoses is quite characteristic and difficult to misdiagnose.
Clinical Presentation Seborrheic keratoses typically present as well-defined, raised growths with a waxy or "stuck-on" appearance. These lesions can range from light tan to dark brown or nearly black in color and are usually oval in shape, measuring a fraction of an inch across. In some cases, they may form larger, more irregularly shaped patches resembling a "Christmas tree" pattern.
While. a) Multiple seborrheic keratoses with a Christmas tree pattern located on the trunk of 80 years-old women. b) Clinical detail of a nodular lesion on the right flank partly pigmented and.
APPEARANCE OF SEBORRHEIC KERATOSES Seborrheic keratoses can appear anywhere on the body. Some individuals may have just one or two, but it is far more common to have multiple seborrheic keatoses. They may appear in clusters on the body in a "Christmas tree" pattern because of the skin cleavage lines.
The "Christmas tree" pat-tern may be found in skin lesions of exan-thematic psoriasis, Kaposi sarcoma, myco-sis fungoides, pityriasis rosea, and second-ary syphilis (8,9). The aim is to describe multiple seborrheic keratosis in a "Christ-mas tree" pattern affecting a healthy man with Dowling. Figure 2.
Multiple seborrheic keratoses of various sizes arranged in a "Christmas tree" pattern on the patient's back. The physical examination revealed an erythematous nodule measuring 3 cm by 3 cm in the right midaxillary line (Figure 1). The nodule was fi rm, mobile, and nontender on palpation, and it had a normal temperature.
Introduction The most frequent type of eruptive seborrheic keratoses (ESK) is the Leser-Trélat sign, a paraneoplastic dermatosis characterized by the rapid appearance of multiple, often pruritic and inflammatory seborrheic keratoses (SK) in a symmetrical pattern on the back, mimicking a Christmas tree [1]. Seborrheic Keratosis Seborrheic keratoses are raised growths on the skin. Seborrheic means greasy and keratosis means thickening of the skin.
There may be just one or clusters of dozens. They are usually start off light tan, then may darken to dark brown or nearly black. They may be oval spots a fraction of an inch across, or form long Christmas.